| Peachwood Medical Group Clovis Inc | |
|
275 W Herndon Ave Clovis CA 93612-0204 | |
| (559) 324-6200 | |
| (559) 324-6280 |
| Full Name | Peachwood Medical Group Clovis Inc |
|---|---|
| Speciality | General Practice |
| Location | 275 W Herndon Ave, Clovis, California |
| Authorized Official Name and Position | Lee Roy Copeland (PRESIDENT) |
| Authorized Official Contact | 5593246200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peachwood Medical Group Clovis Inc 275 W Herndon Ave Clovis CA 93612-0204 Ph: (559) 324-6200 | Peachwood Medical Group Clovis Inc 275 W Herndon Ave Clovis CA 93612-0204 Ph: (559) 324-6200 |
| NPI Number | 1831170745 |
|---|---|
| Provider Enumeration Date | 11/08/2005 |
| Last Update Date | 03/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831170745 | NPI | - | NPPES |
| GR0066590 | Medicaid | CA |
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